Living with Heart Failure during the COVID-19 Pandemic: An Interpretative Phenomenological Analysis

2021 ◽  
pp. 105477382110166
Author(s):  
Alessia Martina Trenta ◽  
Davide Ausili ◽  
Rosario Caruso ◽  
Cristina Arrigoni ◽  
Massimo Moro ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coping Strategies ◽  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
Hospital Organization ◽  
Challenging Situation ◽  
And Coping ◽  
Negative Feelings

This study aimed to explore lived experience of patients with heart failure (HF) during the COVID-19 pandemic. A qualitative study was conducted using an interpretative phenomenological analysis (IPA). Data collection performed in March-May 2020, using in-depth, semi-structured interviews on a purposive sample. Data were analyzed according to the IPA methodology, and triangulation, bracketing, journaling, and member checking were used to assure rigor. 14 patients with HF were enrolled, and three main themes described their lived experience during the COVID-19 pandemic: Vulnerability, Hanging in the balance, and Coping strategies. These people felt particularly vulnerable to the novel virus and experienced uncertainty due to hospital organization changes. Because of this, they felt like they were hanging in the balance, experiencing various negative feelings. Nevertheless, they managed to deal with this challenging situation by implementing some peculiar coping strategies. The COVID-19 represents a significant challenge for patients with HF, impacting significantly on their lives.

scholarly journals Living with heart failure during the COVID-19 pandemic: an interpretative phenomenological analysis

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
AM Trenta ◽  
D Ausili ◽  
R Caruso ◽  
M Moro ◽  
T Nania ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coping Strategies ◽  
Interpretative Phenomenological Analysis ◽  
Healthcare Systems ◽  
Phenomenological Analysis ◽  
The Novel ◽  
Targeted Interventions ◽  
Heart Failure Patients ◽  
Patients With Heart Failure ◽  
Novel Coronavirus

Abstract Funding Acknowledgements Type of funding sources: None. Background The COVID-19 outbreak has presented significant challenges for healthcare systems worldwide, which are responsible for guaranteeing access to care for all patients and limiting the spread of the virus. The necessary changes in the healthcare systems have deeply impacted not only people affected by the novel coronavirus, but also those with chronic conditions, such as heart failure. Since the beginning of the pandemic, a reduction of routine visits and use of emergency services by patients with heart failure has been observed, and these patients have tended to visit the hospital only when their symptoms were severe. The consequences of the COVID-19 pandemic on heart failure patients’ lives have not yet been investigated. Purpose To explore the lived experiences of patients with heart failure during the COVID-19 pandemic. Methods A qualitative investigation based on interpretative phenomenological analysis was conducted. Fourteen patients with heart failure (12 males and 2 females with a median age of 68 years) completed in-depth, semi-structured interviews. Triangulation, journaling and member checking were used to improve the rigour of the study. Results Three themes describing the lived experience of patients were identified: "being vulnerable", "hanging in the balance", and "coping strategies". Patients reported feeling particularly vulnerable to the novel coronavirus due to their clinical conditions, and therefore they experienced fear and anxiety. Changes in the healthcare systems due to the COVID-19 pandemic created a sense of uncertainty that patients described as a feeling of hanging in the balance. However, despite these relevant difficulties, heart failure patients have managed to deal with the situation using various coping strategies, such as acceptance, recreational activities, family reorganization, and use of technology. Conclusions The COVID-19 outbreak deeply affected the lives of patients with heart failure, and our results highlight the relevant difficulties they have faced. We point out that there is a great need for targeted interventions, and these could be developed taking into consideration the coping strategies described in the study.

scholarly journals Impact of the therapist’s “use of self”

2020 ◽  
Vol 8 (1) ◽  
pp. 118-143
Author(s):  
Andrew M. Sleater ◽  
Julie Scheiner
Keyword(s):  
Literature Review ◽  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Belief Systems ◽  
Phenomenological Analysis ◽  
Use Of Self ◽  
Structured Interviews ◽  
Self Disclosure

The aim of this research was to explore the therapist’s “use of self” to gain an understanding of this phenomenon through the participants’ lived experience. A literature review yielded a number of common themes associated with “use of self”: self-disclosure, personality, intersubjectivity, relationality, attachment, belief systems, and embodiment. The study comprised of semi-structured interviews conducted with six experienced and accredited clinicians. Interpretative Phenomenological Analysis was used, as it facilitated the objectives of the research, which were to capture the lived experience of the clinicians, identify common themes, and observe for any new insights. The authors found three superordinate themes in relation to the therapist’s “use of self”, all of which are intertwined: connection, awareness and wellness. The research supports the fact that the therapist’s “use of self” has an impact on therapy. While connection and awareness feature strongly in the literature, the importance of wellness is not highlighted. The authors propose that an obligate symbiosis exists between awareness and wellness.

scholarly journals Exploring the Lived Experience of People with Dementia Through Interpretative Phenomenological Analysis

2016 ◽  
Author(s):  
Helen Johnson
Keyword(s):  
Lived Experience ◽  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Small Body ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
People With Dementia ◽  
Analytic Process ◽  
Moderate Dementia ◽  
Negative Perceptions

Dementia is arguably one of the biggest challenges facing society today, impacting millions of people worldwide. Nonetheless, there is only a relatively small body of research exploring what it is like to live with dementia from the perspectives of people who have this condition. This is partly because of the (implicit or explicit) belief that people with dementia lack insight into their condition and cannot talk about their experiences clearly. In this article, I argue that such beliefs are typically both erroneous and unhelpful, and that there is great value in seeking to illuminate the lived experiences of people with dementia. I present an interpretative phenomenological analysis of data from semi-structured interviews with six participants who had moderate dementia. I elicit five themes from this analytic process, and discuss the three most prominent here: awareness and understanding of dementia, clarity and confusion, and social support and relationships. I mobilise these themes to narrate the lived experiences of people with dementia, demonstrating their awareness both of the difficulties presented by dementia and of the negative perceptions of others.

scholarly journals Elite Athletes Coping With Depression: A Qualitative Study

2019 ◽  
Vol 13 (3) ◽  
pp. 351-373
Author(s):  
Florence Lebrun ◽  
Áine MacNamara ◽  
Dave Collins ◽  
Sheelagh Rodgers
Keyword(s):  
Coping Strategies ◽  
Interpretative Phenomenological Analysis ◽  
Elite Athletes ◽  
Phenomenological Analysis ◽  
Future Research ◽  
Health Issues ◽  
Structured Interviews ◽  
Professional Help ◽  
Research Perspectives ◽  
Mental Health Issues

Little is known about the coping strategies used by elite athletes suffering from mental health issues. Therefore, this study examined coping strategies implemented by elite athletes facing clinical depression. Semi-structured interviews were conducted with four elite athletes and analysed using Interpretative Phenomenological Analysis (IPA). Results present a broad picture of how elite athletes tried to cope with depression using a range of coping strategies. Among the different strategies highlighted, talking, seeking professional help and social support were particularly emphasized by the participants. Surprisingly, however, only one participant reported transferring the skills and strategies learned on her way to the top to many other aspects of her everyday life such as coping with her depression. Findings, therefore, suggest that athletes should be encouraged to transfer and make the most of the skills learned throughout their sport career to deal with their daily life. Future research perspectives and implications are discussed.

scholarly journals ‘I put my “police head” on’: Coping strategies for working with sexual offending material

2018 ◽  
Vol 92 (3) ◽  
pp. 237-263 ◽  
Author(s):  
Ruth Parkes ◽  
Nicola Graham-Kevan ◽  
Jo Bryce
Keyword(s):  
Coping Strategies ◽  
Interpretative Phenomenological Analysis ◽  
Sexual Offending ◽  
Phenomenological Analysis ◽  
Sexual Offence ◽  
Structured Interviews ◽  
Potential Sources ◽  
Sources Of Support ◽  
Organisational Factors ◽  
The Impact

This paper explores the coping strategies of UK police staff who are exposed to sexual offence material (SOM). Eleven police staff completed a questionnaire then took part in semi-structured interviews. Themes were identified using Interpretative Phenomenological Analysis (IPA). This paper explores the theme ‘Coping strategies for working directly with material’, focusing on the most common strategies employed: ‘Detachment’, ‘Avoidance’ and ‘Process-driven’ approaches. Links between coping and different features of SOM are examined, including victim characteristics and audio content. The impact of organisational factors which make coping strategies more or less effective are also explored, along with potential sources of support.

The parent and child experience of childhood vitiligo: An interpretative phenomenological analysis

2020 ◽  
Vol 25 (4) ◽  
pp. 740-753
Author(s):  
Kate Moss ◽  
Samantha A Johnston ◽  
Andrew R Thompson
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Skin Condition ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
Self Confidence ◽  
Parents And Children ◽  
Depth Analysis ◽  
Child Experience ◽  
And Coping ◽  
The Impact

Vitiligo is a chronic and visible skin condition involving depigmentation with half of those with the condition developing it before the age of 20. This study sought to gain an experiential understanding of the impact of vitiligo on children and their parents. Interpretative phenomenological analysis was used, and semi-structured interviews were conducted with four child–parent dyads (eight participants). Analysis of the participants’ accounts revealed four overarching themes (Continuing Burden, The Significance of Visible Difference, Uncertainty and Unpredictability, and Coping), with 12 subthemes. There were some subtle differences between the parents and children. Both parents and child participants described the condition as posing a continuing burden with most participants reporting experiencing unwanted attention and being concerned about future relationship impact. Some parents described experiencing a sense of resignation to the condition, whereas all the children described a greater sense of acceptance. Nevertheless, acceptance seemed fragile, and parents were concerned that their children needed assistance in developing self-confidence. The findings represent the first in-depth analysis of childhood vitiligo.

scholarly journals Clients’ Faith Experiences as an Opportunity or a Challenge for Psychotherapy: A Qualitative Analysis of Clinical Records

Religions ◽  
2020 ◽  
Vol 11 (10) ◽  
pp. 502
Author(s):  
Aida Hougaard Andersen ◽  
Dorte Toudal Viftrup ◽  
Heidi Frølund Pedersen ◽  
Kirsten K. Roessler
Keyword(s):  
Qualitative Analysis ◽  
Coping Strategies ◽  
Psychological Functioning ◽  
Outpatient Care ◽  
Therapeutic Approach ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Psychological Resource ◽  
Clinical Records ◽  
And Coping

Faith experiences constitute important sources of meaning but also a risk of religious struggles. However, studies exploring the faith experiences of clients in relation to psychological functioning in psychotherapy are needed, especially in secularized countries. This study investigated how clients described faith experiences when addressed in psychotherapy, how they experienced faith in relation to coping, and how the experiences were integrated into the psychotherapy. Written records of 33 clients from a psychological clinic with outpatient care in Denmark were analyzed using interpretative phenomenological analysis. The most prevalent diagnoses among the clients were stress, depression, anxiety, and life crises. The clients reported that spiritual and religious beliefs functioned as sources of meaning and constituted either a strength, a challenge, or a combination of both. The psychosocial life and coping strategies of the clients were interwoven with faith experiences. A psychological, resource-focused approach in relation to the clients’ religious challenges seemed to help them toward a more flexible and resource-oriented faith. Assessing faith experiences as sources of meaning in a therapeutic approach focusing on the client’s resources may increase both the psychological functioning of clients and the therapists’ understanding of clients’ lifeworlds.

Where is your commitment? To organization or to their boss? IPA (Interpretative Phenomenological analysis) of employee working in Private Sector Organizations

2021 ◽  
Vol 3 (2) ◽  
pp. 156-170
Author(s):  
Kamran Hameed ◽  
Naveed Yazdani ◽  
Zamin Abbas ◽  
Noman Arshed
Keyword(s):  
Coping Strategies ◽  
Social Exchange ◽  
Interpretative Phenomenological Analysis ◽  
Social Exchange Theory ◽  
Exchange Process ◽  
Phenomenological Analysis ◽  
Stressful Situation ◽  
Norms And Values ◽  
Private Sector Organizations ◽  
And Coping

The purpose of this study is two-folded: first, to explore the organizational commitment specifically focusing on where is employees’ commitment; towards the organization or towards their jobs? Secondly, their experiences are analyzed under the situation when their skills are not appreciated by their boss to whom they perceive as incompetent. There are six in-depth interviews were conducted of employees working in private organizations in Lahore Pakistan. Interpretative Phenomenological Analysis is used to analyze transcriptions, and data analysis is performed in Nvivo 11. The finding of this study has drawn the following themes: emotions/feelings, actions, and coping strategies that are linked with social exchange theory. The social exchange process propagates the individual's emotions are aligned with norms and values of the organization, and the nature of this association engages employees with an organization on moral grounds, and this association prolongs when in return organizations treat their employees fairly. Lastly, the themes are also connected with the survival perspective because most of the coping strategies are reflecting how employees are adapting their practices according to the stressful situation, and how they are building their capacity to transform themselves according to the situation.

scholarly journals Exploring CBT therapists’ experience of feeling of safety within self-practice/self-reflection: an interpretative phenomenological analysis

2021 ◽  
Vol 14 ◽  
Author(s):  
Murray Mackenzie ◽  
James O’Mahony
Keyword(s):  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Future Research ◽  
List Type ◽  
Structured Interviews ◽  
Experiential Training ◽  
Self Reflection ◽  
Training Strategy ◽  
Group Members

Abstract Self-practice/self-reflection (SP/SR) is an experiential training strategy implemented to develop the skills of CBT therapists through the self-application of CBT techniques and subsequent reflection on the experience in relation to clinical practice. Outcome studies report significant personal and professional benefits from SP/SR but engagement studies suggest that CBT therapists’ experience is mixed. In order to inform the design and implementation of SP/SR within CBT, this study aims to explore CBT therapists’ experience of feeling of safety (FOS) within SP/SR. FOS has been identified as an important engagement factor. Three CBT therapists were interviewed using semi-structured interviews. The data, which took the form of verbatim transcripts, were subjected to interpretative phenomenological analysis. Four superordinate themes relating to participants’ experience of FOS within SP/SR emerged: FOS and its absence as embodied and non-verbal, role of the instructor, awareness of others and venturing beyond safety. Ensuing recommendations for instructors include proactive use of interventions within SP/SR which directly impact embodied FOS, monitoring the wellbeing and engagement of participants through awareness of physical cues and employment of measures designed to promote a sense of equality among group members. Areas of future research include exploration of factors which influence FOS, investigation of the effect on FOS of pre-existing relationships within the SP/SR group and review of interventions which are currently used by SP/SR instructors to promote FOS. Key learning aims (1) To explore the lived experience of FOS within SP/SR as experienced by CBT therapists. (2) To identify factors which influence CBT therapists’ experience of FOS within SP/SR. (3) To identify practical recommendations for use in SP/SR instruction which will promote participants’ FOS.

Sign in / Sign up

Export Citation Format

Share Document